Acupuncture for pain: An overview of Cochrane reviews

  title={Acupuncture for pain: An overview of Cochrane reviews},
  author={Myeong Soo Lee and Edzard Ernst},
  journal={Chinese Journal of Integrative Medicine},
ObjectiveCochrane reviews have the reputation for being more transparent and rigorous than other reviews. The aim of this overview was to evaluate and summarize Cochrane reviews of acupuncture for the treatment of any type of pain.MethodsWe searched the Cochrane Database and evaluated the Cochrane reviews that were concerned specifically with the effectiveness of acupuncture for pain. Data were extracted according to pre-defined inclusion criteria by two independent reviewers.ResultsEight… 

A systematic review of reviews of systematic reviews of acupuncture

Conclusions were positive for nausea and vomiting and some types of pain, but negative for smoking cessation, and recommend that high-quality RCTs should be conducted in the areas where most promise has already been shown.

Acupuncture for the Relief of Chronic Pain: A Synthesis of Systematic Reviews

It is suggested that an enriched enrolment with randomised withdrawal design may overcome some of these methodological shortcomings of RCTs and improve the quality of evidence so that healthcare providers and commissioners can make informed choices on the interventions which can legitimately be provided to patients living with chronic pain.

Acupuncture & moxibustion for osteoarthritis of the knee: a component analysis approach

This project investigates the use of acupuncture and moxibustion for osteoarthritis of the knee and develops new knowledge regarding acupuncture in practice and serves as a demonstration of the component analysis approach which could be utilised to investigate other conditions.

Efficacy comparison of different acupuncture methods for herpes zoster

This review will compare the efficacy of different acupuncture treatments for herpes zoster and find a better selection guideline for clinicians and patients.

Acupuncture plus moxibustion for herpes zoster: A systematic review and meta‐analysis of randomized controlled trials

Acupuncture plus moxibustion may improve pain and cutaneous outcomes, although current evidence is limited by the number of studies and methodological shortcomings.

Does acupuncture improve pain and function in people with hip osteoarthritis? A Cochrane Review summary with commentary

It is important to conduct a systematic review and meta-analyses of acupuncture for hip OA to guide clinical decision-making and communication with patients as has been done in the below Cochrane Review.

Acupuncture therapy in the management of the clinical outcomes for temporomandibular disorders

The results indicate that conventional acupuncture therapy is effective in reducing the degree of pain in patients with TMD, especially those with myofascial pain symptoms.

Overview of Treatment Guidelines and Clinical Practical Guidelines That Recommend the Use of Acupuncture: A Bibliometric Analysis.

Considerably more recommendations were found for the use of acupuncture than are known within the acupuncture or medical communities; a trend by year was also found; a rise in the number of positive statements about acupuncture was typically followed by a rises in thenumber of recommendations of acupuncture.

Acute Multifocal Osteomyelitis Following Acupuncture: A Case Report.

A fifteen-year-old previously healthy adolescent male basketball player presented with right shoulder pain and a fever of four days’ duration and the importance of a thorough history, physical examination, and radiographic evaluation in patients presenting with signs and symptoms of osteomyelitis following acupuncture is stressed.



Acupuncture for shoulder pain.

There is little evidence to support or refute the use of acupuncture for shoulder pain although there may be short-term benefit with respect to pain and function.

Acupuncture for lateral elbow pain.

This review has demonstrated needle acupuncture to be of short term benefit with respect to pain, but this finding is based on the results of 2 small trials, which were not able to be combined in meta-analysis.

Cochrane systematic reviews in acupuncture: methodological diversity in database searching.

Considerable methodological diversity exists in the comprehensiveness of database searches for Cochrane systematic reviews on acupuncture, which makes the reviews prone to bias and adds another layer of complexity in interpreting the acupuncture literature.

Acupuncture and dry-needling for low back pain.

The data suggest that acupuncture and dry-needling may be useful adjuncts to other therapies for chronic low-back pain, and there certainly is a further need for higher quality trials in this area.

Acupuncture for peripheral joint osteoarthritis.

Acupuncture as an adjuvant to an exercise based physiotherapy program did not result in any greater improvements than the exercise program alone and restriction to sham-controlled trials using shams judged most likely to have physiological activity reduced heterogeneity and resulted in pooled short-term benefits of acupuncture that were smaller and non-significant.

Acupuncture and electroacupuncture for the treatment of rheumatoid arthritis.

Electroacupuncture show that electroacupuncture may be beneficial to reduce symptomatic knee pain in patients with RA 24 hours and 4 months post treatment, and acupuncture has no effect on ESR, CRP, pain, patient's global assessment, number of swollen joints,Number of tender joints, general health, disease activity and reduction of analgesics.

Acupuncture for migraine prophylaxis.

There is consistent evidence that acupuncture provides additional benefit to treatment of acute migraine attacks only or to routine care, and available studies suggest that acupuncture is at least as effective as, or possibly more effective than, prophylactic drug treatment, and has fewer adverse effects.

Acupuncture for tension-type headache.

It is concluded that acupuncture could be a valuable non-pharmacological tool in patients with frequent episodic or chronic tension-type headaches with small but statistically significant benefits of acupuncture over sham.

Evidence from the Cochrane Collaboration for Traditional Chinese Medicine therapies.

Most Cochrane systematic reviews of TCM are inconclusive, due specifically to the poor methodology and heterogeneity of the studies reviewed, but some systematic reviews provide preliminary evidence of Chinese medicine's benefits to certain patient populations, underscoring the importance and appropriateness of further research.

How Objective are Systematic Reviews? Differences between Reviews on Complementary Medicine

This analysis shows that, at least in the three areas examined, systematic reviews often differ considerably, and readers should be aware that apparently minor decisions in the review process can have major impact.